When no intent is indicated code to accidental. Undetermined intent is only for use when there is specific documentation in the record that the intent of the toxic effect cannot be determined.

Use Additional code(s):
for all associated manifestations of toxic effect, such as: respiratory conditions due to external agents (J60-J70)
personal history of foreign body fully removed (Z87.821)
to identify any retained foreign body, if applicable (Z18.-)

Excludes1

  • contact with and (suspected) exposure to toxic substances (Z77.-)
  1. T65 Toxic effect of other and unspecified substances

    1. T65.0 Toxic effect of cyanides

      1. T65.0X Toxic effect of cyanides

        • T65.0X1 Toxic effect of cyanides, accidental (unintentional)

          Inclusion term(s):

          • Toxic effect of cyanides NOS
        • T65.0X2 Toxic effect of cyanides, intentional self-harm
        • T65.0X3 Toxic effect of cyanides, assault
        • T65.0X4 Toxic effect of cyanides, undetermined
    2. T65.1 Toxic effect of strychnine and its salts

      1. T65.1X Toxic effect of strychnine and its salts

        • T65.1X1 Toxic effect of strychnine and its salts, accidental (unintentional)

          Inclusion term(s):

          • Toxic effect of strychnine and its salts NOS
        • T65.1X2 Toxic effect of strychnine and its salts, intentional self-harm
        • T65.1X3 Toxic effect of strychnine and its salts, assault
        • T65.1X4 Toxic effect of strychnine and its salts, undetermined
    3. T65.2 Toxic effect of tobacco and nicotine

      1. T65.21 Toxic effect of chewing tobacco

        • T65.211 Toxic effect of chewing tobacco, accidental (unintentional)

          Inclusion term(s):

          • Toxic effect of chewing tobacco NOS
        • T65.212 Toxic effect of chewing tobacco, intentional self-harm
        • T65.213 Toxic effect of chewing tobacco, assault
        • T65.214 Toxic effect of chewing tobacco, undetermined
      2. T65.22 Toxic effect of tobacco cigarettes

        Inclusion term(s):

        • Toxic effect of tobacco smoke
        • T65.221 Toxic effect of tobacco cigarettes, accidental (unintentional)

          Inclusion term(s):

          • Toxic effect of tobacco cigarettes NOS
        • T65.222 Toxic effect of tobacco cigarettes, intentional self-harm
        • T65.223 Toxic effect of tobacco cigarettes, assault
        • T65.224 Toxic effect of tobacco cigarettes, undetermined
      3. T65.29 Toxic effect of other tobacco and nicotine

        • T65.291 Toxic effect of other tobacco and nicotine, accidental (unintentional)

          Inclusion term(s):

          • Toxic effect of other tobacco and nicotine NOS
        • T65.292 Toxic effect of other tobacco and nicotine, intentional self-harm
        • T65.293 Toxic effect of other tobacco and nicotine, assault
        • T65.294 Toxic effect of other tobacco and nicotine, undetermined
    4. T65.3 Toxic effect of nitroderivatives and aminoderivatives of benzene and its homologues

      Inclusion term(s):

      • Toxic effect of anilin [benzenamine]
      • Toxic effect of nitrobenzene
      • Toxic effect of trinitrotoluene
      1. T65.3X Toxic effect of nitroderivatives and aminoderivatives of benzene and its homologues

        • T65.3X1 Toxic effect of nitroderivatives and aminoderivatives of benzene and its homologues, accidental (unintentional)

          Inclusion term(s):

          • Toxic effect of nitroderivatives and aminoderivatives of benzene and its homologues NOS
        • T65.3X2 Toxic effect of nitroderivatives and aminoderivatives of benzene and its homologues, intentional self-harm
        • T65.3X3 Toxic effect of nitroderivatives and aminoderivatives of benzene and its homologues, assault
        • T65.3X4 Toxic effect of nitroderivatives and aminoderivatives of benzene and its homologues, undetermined
    5. T65.4 Toxic effect of carbon disulfide

      1. T65.4X Toxic effect of carbon disulfide

        • T65.4X1 Toxic effect of carbon disulfide, accidental (unintentional)

          Inclusion term(s):

          • Toxic effect of carbon disulfide NOS
        • T65.4X2 Toxic effect of carbon disulfide, intentional self-harm
        • T65.4X3 Toxic effect of carbon disulfide, assault
        • T65.4X4 Toxic effect of carbon disulfide, undetermined
    6. T65.5 Toxic effect of nitroglycerin and other nitric acids and esters

      Inclusion term(s):

      • Toxic effect of 1,2,3-Propanetriol trinitrate
      1. T65.5X Toxic effect of nitroglycerin and other nitric acids and esters

        • T65.5X1 Toxic effect of nitroglycerin and other nitric acids and esters, accidental (unintentional)

          Inclusion term(s):

          • Toxic effect of nitroglycerin and other nitric acids and esters NOS
        • T65.5X2 Toxic effect of nitroglycerin and other nitric acids and esters, intentional self-harm
        • T65.5X3 Toxic effect of nitroglycerin and other nitric acids and esters, assault
        • T65.5X4 Toxic effect of nitroglycerin and other nitric acids and esters, undetermined
    7. T65.6 Toxic effect of paints and dyes, not elsewhere classified

      1. T65.6X Toxic effect of paints and dyes, not elsewhere classified

        • T65.6X1 Toxic effect of paints and dyes, not elsewhere classified, accidental (unintentional)

          Inclusion term(s):

          • Toxic effect of paints and dyes NOS
        • T65.6X2 Toxic effect of paints and dyes, not elsewhere classified, intentional self-harm
        • T65.6X3 Toxic effect of paints and dyes, not elsewhere classified, assault
        • T65.6X4 Toxic effect of paints and dyes, not elsewhere classified, undetermined
    8. T65.8 Toxic effect of other specified substances

      1. T65.81 Toxic effect of latex

        • T65.811 Toxic effect of latex, accidental (unintentional)

          Inclusion term(s):

          • Toxic effect of latex NOS
        • T65.812 Toxic effect of latex, intentional self-harm
        • T65.813 Toxic effect of latex, assault
        • T65.814 Toxic effect of latex, undetermined
      2. T65.82 Toxic effect of harmful algae and algae toxins

        Inclusion term(s):

        • Toxic effect of (harmful) algae bloom NOS
        • Toxic effect of blue-green algae bloom
        • Toxic effect of brown tide
        • Toxic effect of cyanobacteria bloom
        • Toxic effect of Florida red tide
        • Toxic effect of pfiesteria piscicida
        • Toxic effect of red tide
        • T65.821 Toxic effect of harmful algae and algae toxins, accidental (unintentional)

          Inclusion term(s):

          • Toxic effect of harmful algae and algae toxins NOS
        • T65.822 Toxic effect of harmful algae and algae toxins, intentional self-harm
        • T65.823 Toxic effect of harmful algae and algae toxins, assault
        • T65.824 Toxic effect of harmful algae and algae toxins, undetermined
      3. T65.83 Toxic effect of fiberglass

        • T65.831 Toxic effect of fiberglass, accidental (unintentional)

          Inclusion term(s):

          • Toxic effect of fiberglass NOS
        • T65.832 Toxic effect of fiberglass, intentional self-harm
        • T65.833 Toxic effect of fiberglass, assault
        • T65.834 Toxic effect of fiberglass, undetermined
      4. T65.89 Toxic effect of other specified substances

        • T65.891 Toxic effect of other specified substances, accidental (unintentional)

          Inclusion term(s):

          • Toxic effect of other specified substances NOS
        • T65.892 Toxic effect of other specified substances, intentional self-harm
        • T65.893 Toxic effect of other specified substances, assault
        • T65.894 Toxic effect of other specified substances, undetermined
    9. T65.9 Toxic effect of unspecified substance

      1. T65.91 Toxic effect of unspecified substance, accidental (unintentional)

        Inclusion term(s):

        • Poisoning NOS
      2. T65.92 Toxic effect of unspecified substance, intentional self-harm

      3. T65.93 Toxic effect of unspecified substance, assault

      4. T65.94 Toxic effect of unspecified substance, undetermined

Abbreviations used here:

NEC Not elsewhere classifiable
This abbreviation in the Tabular List represents “other specified”. When a specific code is not available for a condition, the Tabular List includes an NEC entry under a code to identify the code as the “other specified” code.

NOS Not otherwise specified
This abbreviation is the equivalent of unspecified.